September 11, 2025
2 mins
Childbirth should be joyous. For Laura Fleming, it became the start of an avoidable nightmare. In this conversation, Laura describes…
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September 1, 2025
2 mins
Retained surgical swabs remain a serious risk despite checklists and protocols. In this interview, a paediatric surgeon shares why these…
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August 26, 2025
3 mins
When we talk about Never Events in healthcare, the word “never” is not a suggestion. It should be a promise.…
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August 12, 2025
3 mins
Second victims in the operating theatre are often overlooked in patient safety discussions. When retained surgical swabs occur, the impact…
Read BlogThe Causes & Hidden Cost of Never Events
These references explore the consequences, policy implications, risk factors, and financial/legal burdens associated with retained surgical items (RSIs).
HSIB, CQC, NHS Improvement, Joint Commission, NHS NPSA, Australia & NZ reports
NHS Long Term Plan & US Navy Navmed Policy
Gawande et al., Birolini et al., Zhan & Miller – major prevalence and outcome studies
Gawande, Steelman, AHRQ – reports showing high costs and added hospital stays
Bailey, Kaiser, Gualniera – legal and malpractice case reviews
Dozens of country-specific studies: US, UK, India, France, Kenya, Brazil, etc.
Wan et al., Sirihorachai et al., Tabibzadeh et al., Anderson – systematic reviews and safety studies
Edel, Greenberg, Christian – documenting risks in manual count procedures
Joint Commission & cost analyses comparing RFID/barcoded swabs with iCount (£9/patient)
Regenbogen et al. – cost model showing economic value of iCount-like tech
Mathew & Imoto – showing limits of imaging to detect RSIs
The iCount Evidence Base
These references support interventions, technology innovations, and human-factors-based solutions to prevent RSIs underpinning the rationale for adopting tools like iCount.
iCount is a simple, human-factors-engineered system that acts as a physical checklist to support accurate swab counts to reduce reliance on memory in high-pressure clinical settings .
Our technology is:
iCount supports safer surgeries, for every team, in every theatre, maternity and procedural setting.
It was designed to support surgical teams ensuring swabs are counted accurately and efficiently. With an intuitive docking mechanism with optional computer vision, AI enabled verification, iCount helps reduce manual errors in swab tracking, supporting efficiency in high-pressure environments without disrupting workflow